การพัฒนารูปแบบการสร้างเสริมความรอบรู้ด้านสุขภาพในการป้องกันโรคความดันโลหิตสูง ของกลุ่มเสี่ยงความดันโลหิตสูง กลุ่มวัยทำงาน เขตสุขภาพที่ 9 ในยุควิถีใหม่

บทคัดย่อ

This operational study aimed to develop a health literacy building model for hypertension prevention among risk group of hypertension in the working age group, Regional Health 9^th in New Normal era. PAOR model was applied in four phases of the study: Planning, Action, Observation and Reflection. Data was collected through focus group discussions, observations and interviews. Content analysis was used to analyze qualitative data whereas descriptive and inferential statistics were used to analyze quantitative one. Paired sample t-test was used to compare means.

The results showed that a health literacy building model for hypertension prevention among risk group of hypertension in the working age group, Regional Health 9^th in New Normal era  should consist of (1) human resource preparation through capacity building (2) integrated operation through working group (3) capacity building of process facilitators (4) selection of study area (5)evaluation. After using a health literacy building  program in 40 participants for three months, it was shown that the mean score of health literacy and  behavior on hypertension prevention  increased significantly  (p-value < 0.05) when comparing the mean systolic blood pressure and diastolic blood pressure after trial participation found to be lower than before joining the trial statistically significant (p-value<0.05) and assessment results of satisfaction with participation in activities at  a high level. The sample group gained new knowledge, ideas, skills and experiences which can be applied in life.

A health literacy building model for hypertension prevention among risk group of hypertension in the working age group applied PAOR model in the action research framework to disease prevention. The risk group of hypertension in the working age group receive developed competencies and skills for health literacy according to all five elements. It was shown that the mean score of health literacy and behavior on hypertension prevention so risk group of hypertension in the working age group has increased health literacy in preventing hypertension. They can control their blood pressure to be within normal range and reduce the rate of new hypertension patients in the area.